Serveur d'exploration sur le patient édenté

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Recovering the personal identity of an elderly patient with cleft lip: a case report

Identifieur interne : 003792 ( Main/Exploration ); précédent : 003791; suivant : 003793

Recovering the personal identity of an elderly patient with cleft lip: a case report

Auteurs : Wissem Khalil [Brésil] ; Henrique Laboissière Da Silva ; Kátia Tavares Serafim [Brésil] ; Luiz Evaristo Ricci Volpato ; Luiz Fernando Passos Casela [Brésil] ; Andreza Maria Fábio Aranha

Source :

RBID : ISTEX:5C1C27C084349275D52EC6F3D3BED50060196057

English descriptors

Abstract

Instances of unoperated cleft lip and/or palate (CLP) in adult or elderly patients are still seen in developing countries. This paper presents the multidisciplinary management and the personal identity revival of a 72‐year‐old patient with unoperated unilateral complete cleft lip. The facial deformity was characterized by a protrusion of the excess of orbicularis oris muscle, irregularities of the upper lip, nose distortion, and septum deviation to the cleft side. The patient was edentulous with the maxillary alveolar ridge collapsed and an associated fistula. The cleft lip was repaired using the Tennison–Randall technique and complete dentures were delivered after the oroantral fistula had been closed. The patient was very pleased with the improvement in speech and eating and she approved of her facial esthetics. The existence of unoperated oral clefts in the elderly population highlights the need to improve policies in treating patients with CLP, mainly in developing countries.

Url:
DOI: 10.1111/j.1754-4505.2012.00272.x


Affiliations:


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Le document en format XML

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<term>Alveolar ridge</term>
<term>Anterior portion</term>
<term>Better definition</term>
<term>Buccal mucosa</term>
<term>Case report</term>
<term>Cleft</term>
<term>Cleft palate</term>
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<term>Mucocutaneous line</term>
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<term>Revisional surgery</term>
<term>Right side</term>
<term>Second layer</term>
<term>Septum deviation</term>
<term>Silva filho</term>
<term>Speech therapy</term>
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<term>Surgical</term>
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<term>Case report</term>
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<term>Facial profile</term>
<term>Female ratio</term>
<term>Functional repair</term>
<term>General anesthesia</term>
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<term>Mucocutaneous line</term>
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<term>Nylon suture</term>
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<term>Palate patients</term>
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<term>Second layer</term>
<term>Septum deviation</term>
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<div type="abstract" xml:lang="en">Instances of unoperated cleft lip and/or palate (CLP) in adult or elderly patients are still seen in developing countries. This paper presents the multidisciplinary management and the personal identity revival of a 72‐year‐old patient with unoperated unilateral complete cleft lip. The facial deformity was characterized by a protrusion of the excess of orbicularis oris muscle, irregularities of the upper lip, nose distortion, and septum deviation to the cleft side. The patient was edentulous with the maxillary alveolar ridge collapsed and an associated fistula. The cleft lip was repaired using the Tennison–Randall technique and complete dentures were delivered after the oroantral fistula had been closed. The patient was very pleased with the improvement in speech and eating and she approved of her facial esthetics. The existence of unoperated oral clefts in the elderly population highlights the need to improve policies in treating patients with CLP, mainly in developing countries.</div>
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